Kuvunika ijosi ry'umunyabwoba ni ibintu bisanzwe kandi bishobora kuba bibi cyane kubaganga batuje amagufwa, kubera amaraso yoroshye, intimba nyinshi zitubahirizwa, kandi abarwayi benshi bavuza ivurungano, ndetse n'abarwayi bari munsi yimyaka 65 barashobora gutoranywa imbere Kubaga ibicuruzwa, kandi ingaruka zikomeye ku ruganda rutemba ku maraso biterwa no kuvunika imyanda y'ijosi ry'imyenda. Kuvunika Ijosi bifite imiyoboro bifite ingaruka zikomeye cyane za Haemodynamic, kandi zifunze no gukosorwa imbere nubu buryo bwo kuvura busanzwe bwo kuvunika ijosi. Kugabanuka neza nibyiza gushimangira kuvunika, guteza imbere kuvunika gukira no gukumira umutwe wa femoral.
Ibikurikira ni urubanza rusanzwe rwo kuvunika ijosi kugirango tuganire uburyo bwo gukora gufunga-kwimura imbere bikosorwa imbere na screw.
Ⅰ Amakuru Yibanze y'urubanza
Amakuru yumurwayi: Umugabo 45 umaze imyaka 45
Ikirego: Kubabara ibinyoma byo kubeshya no kugarukira amasaha 6.
AMATEKA: Umurwayi yikubita hasi akiritoga, atera ububabare mu kibuno cy'ibumoso no kugarukira mu bitero by'ijosi ndetse n'imbuga, kandi byinjiraga mu kiti cy'ibumoso, maze yiyongera ku buruhukiro bw'igisimba n'imbuga, kandi yinjiye mu biti by'ibumoso ndetse n'imbuga yoroheje, kandi yirukanye ibikorwa byerekeranye n'inda ry'ibumoso kuri radiyo ya kabiri nyuma y'imvune.
Isuzuma ryumubiri (Kugenzura umubiri wose & Kugenzura inzobere)
T 36.8 ° C P87 Gukubita / Min R20 Gukubita / Min BP135 / 85mhg
Iterambere risanzwe, imirire myiza, umwanya wa pasiporo, imitekerereze isobanutse, gufatanya mubizamini. Ibara ryuruhu ni ibisanzwe, elastike, nta edema cyangwa guhubuka, ntaguka kwaguka kwa lymph node yumubiri wose cyangwa ahantu ho kuruhukira. Ingano yumutwe, morphologiya isanzwe, nta bubabare bwigitutu, misa, umusatsi urabagirana. Abanyeshuri bombi barangana mubunini no kuzenguruka, hamwe na reflex yoroheje. Ijosi ryari ryoroshye, Tracheya yibanzeho, Glande ya tiroyide ntiyari yagutse, igituza cyari kigufi, nticyari gisanzwe mu gihagararo cy'amatungo, inkuta z'umutima cyari gisanzwe kandi cyoroshye, nta bubabare cyangwa ububabare bwongeye kubaho cyangwa ngo bubabare. Umwijima n'intangarure ntibyamenyekanye, kandi nta bwuzu twari mu mpyiko. Amaduka yimbere kandi yinyuma ntabwo yasuzumwe, kandi nta muco wabaga umugongo, ingingo zo hejuru ningingo ntoya, hamwe nuduce dusanzwe. Ibikoresho bya physiologiya byari bitabiriye ikizamini cya neuuro na reflex ya pathologi ntabwo byatanzwe.
Nta kwinuba kugaragara kw'ibumoso, ububabare bugaragara hagati yigituba cyibumoso, bugufi bwo kuzunguruka hanze yibumoso (+), kandi ibikorwa byo hasi yibumoso bwamabuye yibumoso byari byiza.
Ibizamini byabafasha
X-Ray Filime yerekanwe: Ibumoso bw'ijosi rya femoral kuvunika, gutandukanya imperuka.
Ikizamini gisigaye, igituza x-ray, amagufwa densitometry, na ultrasound yamabara yimitsi yimbitse yingingo zo hepfo ntabwo yerekanaga bidasanzwe.
Kwisuzumisha no gusuzuma Bitandukanye
Dukurikije amateka yumurwayi wihahamuka, hasigaye ububabare bwimigezi, imbogamizi yibikorwa, isuzuma ryumubiri ryibumoso bwamasa (+), ihamye hamwe na firime ya Xis irashobora gusuzumwa neza. Kuvunika kwa Trochanter birashobora kandi kugira ububabare bubi kandi bugabanijwe, ariko mubisanzwe kubyimba kwaho biragaragara, ingingo yo kuzunguruka iherereye, kandi irashobora gutandukana nayo.
Kuvura
Kugabanya gufunga no guhumeka imisumari imbere byakozwe nyuma yikizamini cyuzuye.
Filime yimbere niyi ikurikira
Kuyobora hamwe no kuzunguruka imbere no gukurura ingingo yinjijwe hamwe no gushimuta igice cyibasiwe nyuma yo kugarura no kugarura na flueroscopy yerekanaga gusana neza
Igice cya Kirschner PIN cyashyizwe hejuru yumubiri mu cyerekezo cy'ijosi rya Flmoroscopy, kandi hakozwe uruhu ruto rumaze gukorwa hakurikijwe aho iherezo rya PIN.
Igice cya PIN cyinjijwe mu ijosi rya femoral bihuriweho hejuru yumubiri mu cyerekezo cya Kirchner PIN mugihe ukomeje kuringaniza Imbere ya dogere na dogere hamwe na flueroscopi
Igice cya kabiri (cyinjijwe mu buryo bwuzuyemo femoral ukoresheje icyerekezo kibangikanye munsi yicyerekezo cya PIN ya mbere PIN.
Urushinge rwa gatatu rwinjijwe hamwe inyuma yurushinda rwambere runyuze mubuyobozi.
Gukoresha igikeri fluoroscopic ishusho yinyuma, amapine yose ya kirscner yose yagaragaye ko ari mu ijosi
Gutobora umwobo mu cyerekezo cya PIN y'Ubuyobozi, bapima ubujyakuzimu hanyuma uhitemo uburebure bukwiye bw'umusumari wo mu butegetsi, birasabwa gukubitwa n'umugongo wo mu gace k'umusaruro, ushobora kubuza gutakaza.
Screw mubindi bibiri byatsinzwe nyuma yundi hanyuma urebe muri
Imiterere y'uruhu
Filime yo gusuzuma
Huzaga imyaka yumurwayi, ubwoko bwumurwayi, ubwiza bwamagufwa, kugabanya imisumari yo gukosorwa, birashobora gukomera kuri decomentional ihakishwa, imiterere yo gukosora ifasha kwikuramo intera, kandi byoroshye igipimo cyo gukosora intera
Incamake
1 Gushyira inshinge zumubiri hejuru yumubiri hamwe na flueroscopi ifasha kumenya ingingo nubuyobozi bwo kwinjiza urushinge hamwe nuruhu rwuruhu;
2 Amapine ya kirscner agomba kuba ahwanye na Zigzag, kandi hafi yinkombe ishoboka, ifasha gucika intege kandi nyuma yakanda;
3 Kirscner Pin Point Point igomba gutoranywa mugihe cya femorale igaragara cyane kugirango urebe ko PIN iri hagati yijosi ryinshi, mugihe inama zamapiki ebyiri zirashobora kuneka imbere kandi zisubira inyuma kugirango borohereze ibyuma;
4 Ntutware umuriro pin cyane mugihe kimwe kugirango wirinde kunyura hejuru yumurongo wavunitse, umwe ni ukwirinda gucukura mu mutwe w'indwara
5 Ubwonko bwuzuye bwarimo hafi hanyuma unyuze kuri gato, suzuma uburebure bwumugozi uboneka, niba uburebure bwumurwayi buke, gerageza gusa gusimbuza imigozi, gerageza gato gusimbuza imigozi, gerageza gato gusimburwa neza Imiyoboro nibyiza cyane!
Igihe cya nyuma: Jan-15-2024
